Akdhc,LLC

Organization Active NPI Nephrology Physician · Marana, AZ

NPI 1902392079 · NPPES record last updated Nov 27, 2024

Key facts

NPI
1902392079
Entity type
Organization (NPI type 2)
Primary specialty
Nephrology Physician 207RN0300X
Legal business name
AKDHC,LLC
Practice address
3600 W Tangerine Rd, Suite 110
Marana, AZ 85658
Phone
(520) 547-2468
Fax
(520) 547-2471
NPI assigned
Jul 2, 2018
Organization subpart
No

Authorized official

Name
Ms. Kristen Klein
Title
Director of Physician Services
Phone
(602) 997-0484

Corporate family (same tax ID) 22

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Akdhc - Fountain Hills Family Practice (91 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207RN0300X AZ Yes

Addresses

Primary practice location

3600 W Tangerine Rd, Suite 110
Marana, AZ 85658

Mailing address

3333 E Camelback Rd Ste 180
Phoenix, AZ 85018-2396
Phone (602) 759-6883

Other identifiers

IdentifierTypeStateIssuer
244929MedicaidAZ

Other providers in Marana, AZ

All providers in Marana, AZ · Nephrology Physician in Arizona

Sources for this page

Verify at the official NPI Registry.